Heart Failure USMLE Step 1 Practice Question
A 31 year old man who injects heroin presents with fever, pleuritic chest pain, and shortness of breath. Examination shows a new holosystolic murmur at the left lower sternal border and several painless erythematous macules on the palms and soles. Blood cultures grow gram positive cocci in clusters. Which of the following is the most likely diagnosis?
Answer choices
- ADilated cardiomyopathy
- BInfective endocarditisCorrect answer
- CRestrictive cardiomyopathy
- DAortic dissection
- EAcute rheumatic fever
- FHypertrophic cardiomyopathy
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